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jq( { /A�{ '. I - �- NON-HAZARDOUS WASTE MANIFEST <br /> I.N R P Q R A T E WASTE TR04ENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE N0, L7718ii <br /> -AOR REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Yt Ali'Fad&E+ Y ®GLOVES []GOGGLES ❑RESPIRATOR ®HARD HAT <br /> NQ ADDRESS , ❑TY-VEK ❑OTHER <br /> 6840 t ir00W Road <br /> £CITY,S1ATE,ZIP <br /> SPECIAL HANDLING PROCEDURES: <br /> Bwidi,CA 945228 <br /> PERSON <br /> NATURE AUTHORIZEDvvlf-�' <br /> � HATE <br /> rti ! l .a <br /> 4&4ST TYPE . ___ RECEIVING FACILITY <br /> ❑ SLUDGE <br /> ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> DISPOSAL SOIL ❑ 9999 SOUTH AUSTIN ROAD <br /> CONSTRUCTION SOIL ❑ ASH ASH <br /> ❑ STOCK PILE ❑ OTHER MANTECA, CALIFORNIA 95336 <br /> :GENERATING FACILITY (209) 982-4298 PHONE <br /> 249Eva Hadi*Wary STOCKTON (209) 982- 1009 FAX <br /> NAMELIC:#E TRUCK NUMBER <br /> Mad EM�� �19�P <br /> .ADDRESS TRAIL/E�JRUC.# <br /> Post C?Dkt Sox 579 / VP 57-97 <br /> CITY,STATE,ZIP TRAILER LIC.# <br /> ByrMCA 94514 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE 09AUTHORfZi}Al-06T OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> Ll El El 0 <br /> FORWARD INC. LANDFILL CUBIC YARDS <br /> Forward shall have no obligation to accept the waste if weather or other T , <br /> conditions impair the safe and effective disposal of the waste or if the waste DISPOSAL METHOD: (TO BE COMPLETED BY FOFiV1IARD) <br /> impairs the safe and effective operation df the Landfill. Forward shall use <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BIO AERATE STOCKPILE OTHER <br /> waste for any reason. If Forward's refusal to accept the waste is based on <br /> weather or other site conditions,Forward shall notify the Disposer when site. <br /> • conditions are expected to charge such that Forward will be able to acce t <br /> the waste. ❑ SLUDGE <br /> REMARKS <br /> ❑ NON-FRIABLE <br /> FACILITY TICKET NUMBER ASBESTOS <br /> ❑ WOOD <br /> SIGNATURE O AUTHORIZED T DATE <br /> r ❑ ASH <br /> ti 4r � ❑ OTHER <br /> SCHEDULING IMUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL • ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL(209)982-4298 CI 7 C <br /> Fol(C9511NH)6-96 SALES COPY MANIFEST # Ci 6rf,,`;` " 1 v <br />